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Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Introduction: Progress in past 6 years, case detection rate for Tuberculosis (TB) in Pakistan was only 30%. More than 80% patients seek care from Private Providers (PPs). The knowledge of these practitioners is not adequate to manage Tuberculois and hence a barrier to TB control.
Objectives:Public Private Mix (PPM) model was used in this study to increase the case detection rate from Tuberculosis in District Thatta.
Methods: Private practitioners (PPs) of District Thatta were requested to participate in the study. All those who consented, were provided with refresher training on Direct Observed Treatment Short course (DOTS) module. TB cases initially diagnosed by private practitioners were also registered with District TB control program and medicine was provided by the government sources. These patients were managed by the private practitioners during the entire course of disease.
Results: We found an increase in the umber of sputum smear cases; i.e. 202 in first quarter of 2007 which went down to 186 in the 2nd quarter. The results of the intervention can be seen from the number of cases in the third quarter of the year 2007. Total cases, in third quarter, notified were 188 which showed that trend was on the decline but adding 23 cases, detected by PPs increased cases to 211, a Case Detection Rate increment from 69% to 77%.
Conclusion: We conclude that public private mix model used in the study is effective in increasing the case detection rate of TB cases in District Thatta and can be used as model in other parts of the world in order to control Tuberculosis. Involvement of all stakeholders from initial phase of project was a key element of success in this study.
Objectives:Public Private Mix (PPM) model was used in this study to increase the case detection rate from Tuberculosis in District Thatta.
Methods: Private practitioners (PPs) of District Thatta were requested to participate in the study. All those who consented, were provided with refresher training on Direct Observed Treatment Short course (DOTS) module. TB cases initially diagnosed by private practitioners were also registered with District TB control program and medicine was provided by the government sources. These patients were managed by the private practitioners during the entire course of disease.
Results: We found an increase in the umber of sputum smear cases; i.e. 202 in first quarter of 2007 which went down to 186 in the 2nd quarter. The results of the intervention can be seen from the number of cases in the third quarter of the year 2007. Total cases, in third quarter, notified were 188 which showed that trend was on the decline but adding 23 cases, detected by PPs increased cases to 211, a Case Detection Rate increment from 69% to 77%.
Conclusion: We conclude that public private mix model used in the study is effective in increasing the case detection rate of TB cases in District Thatta and can be used as model in other parts of the world in order to control Tuberculosis. Involvement of all stakeholders from initial phase of project was a key element of success in this study.
Funding: TDR -EMRO-World Health Organization
Learning Objectives: 1.Elaborate on the potential of private sector in the control of Tuberculosis in developing countries. 2. Enlist the factors that lead to a successful partnership bwtween private and governmet sector in the control of TB in developing countries.
Sub-Theme: Progress on prevention and control of HIV/AIDS, Malaria, and Tuberculosis